Immediate effects of thermal-tactile stimulation on timing of swallow in idiopathic Parkinson's disease.
AffiliationSLT Department, Adelaide and Meath Hospital, Tallaght, Dublin 24, Ireland., firstname.lastname@example.org
Health Status Indicators
Reproducibility of Results
MetadataShow full item record
CitationDysphagia. 2010 Sep;25(3):207-15. Epub 2009 Aug 26.
AbstractOropharyngeal dysphagia frequently presents in people with idiopathic Parkinson's disease (IPD). Clinical sequelae of dysphagia in this group include weight loss and aspiration pneumonia, the latter of which is the leading cause of hospital admissions and death in IPD. Thermal-tactile stimulation (TTS) is a sensory technique whereby stimulation is provided to the anterior faucial pillars to speed up the pharyngeal swallow. The effects of TTS on swallowing have not yet been investigated in IPD. The aim of this study was to investigate the immediate effects of TTS on the timing of swallow in a cohort of people with IPD and known oropharyngeal dysphagia. Thirteen participants with IPD and known dysphagia attended for videofluoroscopy during which standardised volumes of liquid barium and barium paste were administered preceding and immediately subsequent to TTS. The immediate effects of TTS on swallowing were examined using oral, pharyngeal, and total transit times and pharyngeal delay times as outcome measures. TTS significantly reduced median pharyngeal transit time on fluids (0.20 s, 95% CI = 0.12-0.28, p = 0.004) and on paste (0.3 s, 95% CI = 0.08-0.66, p = 0.01). Median total transit time was also reduced on fluids (0.48 s, 95% CI = 0.00-1.17, p = 0.049) and on paste (0.52 s, 95% CI = 0.08-1.46, p = 0.033). Median pharyngeal delay time was reduced on fluids (0.20 s, 95% CI = 0.12-0.34, p = 0.002). TTS did not significantly alter median oral transit time on either fluid or paste consistency. TTS significantly reduced temporal measures of the pharyngeal phase of swallowing in the IPD population. Significant results may be attributed to the role of sensory stimulation in improving motor function in IPD, with emphasis on the impaired glossopharyngeal and vagus nerves in this population. It is still unclear whether these findings will translate into a clinically beneficial effect.
- Quantitative Measures of Swallowing Deficits in Patients With Parkinson's Disease.
- Authors: Ellerston JK, Heller AC, Houtz DR, Kendall KA
- Issue date: 2016 May
- Effects of bolus consistency on timing and safety of swallow in patients with Parkinson's disease.
- Authors: Troche MS, Sapienza CM, Rosenbek JC
- Issue date: 2008 Mar
- Changes in Timing of Swallow Events in Parkinson's Disease.
- Authors: Schiffer BL, Kendall K
- Issue date: 2019 Jan
- Prolonged swallowing time in dysphagic Parkinsonism patients with aspiration pneumonia.
- Authors: Lin CW, Chang YC, Chen WS, Chang K, Chang HY, Wang TG
- Issue date: 2012 Nov
- Effect of an impaired oral stage on swallowing in patients with Parkinson's disease.
- Authors: Wakasugi Y, Yamamoto T, Oda C, Murata M, Tohara H, Minakuchi S
- Issue date: 2017 Oct